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Revascularization Surgery For Moyamoya Disease

Surgery for Aneurysm, Arteriovenous Malformation or Vascular Disease Procedures on the Skull, Meninges, and Brain

1 Result(s)
Distance
1500 San Pablo St.
LOS ANGELES, CA 90033
2223 Miles
Details
Inclusions

The Bundled Rate plus Outlier Per Diems includes:

1. Those comprehensive facility services, supplies, and equipment necessary to perform the Procedure and rendered by PROVIDER 2. Those professional services necessary to perform the Procedure and rendered by a Physician 3. The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Procedure The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 4 inpatient days in the hospital. Should the length of stay exceed 4 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. The bundled rate period ends at discharge.

Exclusions

The bundled rate does not include professional, anesthesia and other ancillary services delivered during the episode of care. These services are to be reimbursed at 225% of California Medicare. Any services without a RVU will be paid at 80% of billed charges. Anesthesia services shall be paid at $70 per ASA unit.

Candidacy

Candidacy for the bundled procedure will be determined by the Provider.